Telemed J E Health - Telehealth--a change in a practice model in oncology.

Tópicos

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Resumo

CKGROUND: A clinical study to examine the barriers to using telehealth for oncologic visits was performed by the British Columbia Cancer Agency's Vancouver Island Centre (BCCAVIC) and the Vancouver Island Health Authority in 2006-2007. One of the major barriers encountered was physician engagement. The current observational study was to determine whether patients' enthusiasm and the introduction of telehealth in a study resulted in telehealth becoming integrated within BCCAVIC.METHODS: Telehealth appointment statistics continued to be kept after the original study was completed. Data were kept on the number of visits, the type of visit (follow-up or new patient), the oncologist seeing the patient, the location of the patient, and the type of cancer.RESULTS: During the study, 106 patients were seen via telehealth. In the years following the trial, the number of telehealth follow-up patients seen markedly increased, so that in 2010-2011, close to 1,200 patients were seen. Medical oncology saw 91.4% of these.CONCLUSIONS: The introduction of oncology telehealth in BCCSVIC/Vancouver Island Health Authority was in an ethics-approved study. Following the completion of the trial, there was a 10-fold increase in follow-up patients seen using this modality. Reluctance to see new patients through telehealth probably relates to the necessity to change the patient encounter paradigm. There is a need to develop a model where patients who are a distance from specialists concentrated in larger centers have reasonable access to the same standard of care, without incurring the time and financial burdens. Telehealth would be a part of that model.

Resumo Limpo

ckground clinic studi examin barrier use telehealth oncolog visit perform british columbia cancer agenc vancouv island centr bccavic vancouv island health author one major barrier encount physician engag current observ studi determin whether patient enthusiasm introduct telehealth studi result telehealth becom integr within bccavicmethod telehealth appoint statist continu kept origin studi complet data kept number visit type visit followup new patient oncologist see patient locat patient type cancerresult studi patient seen via telehealth year follow trial number telehealth followup patient seen mark increas close patient seen medic oncolog saw theseconclus introduct oncolog telehealth bccsvicvancouv island health author ethicsapprov studi follow complet trial fold increas followup patient seen use modal reluct see new patient telehealth probabl relat necess chang patient encount paradigm need develop model patient distanc specialist concentr larger center reason access standard care without incur time financi burden telehealth part model

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